Clinical Nurse Quality Manager
DataStaff, Inc is in need of a Clinical Nurse Quality Manager for a long-term contract opportunity for one of our direct clients in Raleigh, NC.
*This position is hybrid; 2x/week on site
* Pay range $35.00/hr - $45.00/hr
The Nurse Quality Manager is responsible for the development, implementation, and monitoring of quality improvement initiatives aimed at enhancing healthcare outcomes for Medicaid beneficiaries. The Nurse Quality Manager will:
- Coordinate with key stakeholder teams inside and outside of DHB for enhancement of QI activities
- Identify opportunities for improvement based on analysis of data provided by Health Plans, the State, and other National Data sources
- Provide feedback to leadership on initiatives, KPIs, or potential cross-collaborative opportunities to inform on strategic planning
- Provide Clinical Quality Expertise on Policy Development of Quality Improvement Activities
- Manage relationships with healthcare stakeholders, offering evidence-based recommendations, resources, and ongoing feedback
- Work collaboratively as a Nurse Quality SME with other Business Units to enhance interoperability of Medicaid Quality activities
- Support QPHE leadership in developing person-centered, wholistic, and community friendly Performance Improvement Policies
- Communicate and Collaborate with Health Plans in enhancing member experience and outcomes
- Keep abreast of healthcare quality improvement trends, regulations, and best practices, ensuring compliance with standards such as NCQA, HEDIS, and CMS guidelines.
- Expected to lead 2-3 Quality Improvement activities per 12-month contract
- Participate and support other projects for QPHE
Skills:
- Able to clearly present to other SMEs and non-SMEs on Quality topics and education.
- Previous leadership experience in clinical or quality management.
- Advanced analytical capabilities, including the ability to interpret complex data sets and make data-driven strategic decisions.
- Excellent communication skills and ability to engage stakeholders at all organizational levels.
- Proficient in Microsoft Office Suite, especially Excel, PowerPoint, and Word. Familiarity with data analysis tools and software is a must.
Experience and Education:
- 2-3 years of Quality Improvement experience.
- Previous experience with HEDIS Measures.
- Minimum 5 years of Nursing Experience preferred. Degree-based recommendations below:
- ADN RN: 5 years of experience
- BSN: 3-5 years of experience
- MSN: 2-3 years of experience
- Advanced credit given for CPHQ or PMP or Six Sigma Yellow Belt certification.
- Preferred experience with Managed Care, Medicaid, Medicare, or Accountable Care Organizations.
- Preferred experience with understanding of Population Health interventions and outcomes.
This opportunity is available as a W2 position with a competitive benefits package. DataStaff, Inc. offers medical, dental and vision coverage options as well as paid vacation, sick and holiday leave. As many of our opportunities are long-term, we also have a 401K program available for employees after 6 months.